| Fairview Clinics-new Brighton | |
|
1151 Silver Lake Rd Nw New Brighton MN 55112-6324 | |
| (612) 706-4500 | |
| (612) 781-6830 |
| Full Name | Fairview Clinics-new Brighton |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1151 Silver Lake Rd Nw, New Brighton, Minnesota |
| Authorized Official Name and Position | Maureen Ring (SYSTEM DIRECTOR GOVT REIMB NET REL) |
| Authorized Official Contact | 6126726740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairview Clinics-new Brighton Po Box 9372 Minneapolis MN 55440-9372 Ph: (612) 672-6724 | Fairview Clinics-new Brighton 1151 Silver Lake Rd Nw New Brighton MN 55112-6324 Ph: (612) 706-4500 |
| NPI Number | 1881673002 |
|---|---|
| Provider Enumeration Date | 01/16/2006 |
| Last Update Date | 03/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881673002 | NPI | - | NPPES |
| 752820511 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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